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Do NOT use Betapace if:

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• you have certain cardiovascular disease (eg, severe low heartbeat, uncontrolled heart failure, some kinds of abnormal heartbeat rhythm), low blood potassium or magnesium levels, severe kidney problems, or perhaps a good reputation for asthma

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• you take cisapride, astemizole, terfenadine, mibefradil, dofetilide, or possibly a theophylline (eg, aminophylline).

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Contact a medical expert or physician immediately if these affect you.

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Some medical conditions may communicate with Betapace. Tell your medical professional or pharmacist for those who have any health concerns, in particular when any from the following affect you:

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Some medicines may communicate with Betapace. Tell your health care provider in case you are taking some other medicines, especially any with the following:

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• Indomethacin or phenylpropanolamine because they might decrease Betapace's effectiveness

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• Amiodarone, antiarrhythmics (eg, quinidine, propafenone), arsenic, cisapride , dofetilide, droperidol, H₁ antagonists (eg, astemizole, terfenadine), ketanserin, macrolides and ketolides (eg, erythromycin, azithromycin), mefloquine, phosphodiesterase type 5 inhibitors (eg, sildenafil), phenothiazines (eg, thioridazine), quinolones (eg, ciprofloxacin), or ziprasidone as the probability of abnormal heart rhythms could possibly be increased

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• Bupivacaine, cocaine, epinephrine, insulin, lidocaine, meglitinide antidiabetics (eg, nateglinide), nifedipine, or quinazolines (eg, prazosin) for the reason that risk of their side effects might be increased by Betapace

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• Betapace could cause drowsiness, dizziness, or lightheadedness. These effects may be worse in case you take it with alcohol or certain medicines. Use Betapace with caution. Do not drive or perform other possibly unsafe tasks and soon you discover how you reply to it.

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• Betapace may cause dizziness, lightheadedness, or fainting; alcohol, warm weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially inside morning. Sit or sleep the night in the first sign of the of these effects.

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• Do not suddenly stop taking Betapace. Sharp chest pain, irregular heartbeat, and sometimes cardiac arrest may occur should you suddenly stop Betapace. The risk could be greater if you have certain types of heart disease. Heart disease is typical and you will not know you've it. Your doctor should slowly reduce your dose over several weeks if you need to stop taking it. Limit exercise while you might be lowering your dose. If new or worsened chest pain or any other heart related illnesses occur, contact a medical expert without delay. You may need to begin taking Betapace again.

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